STONEBRIDGE SCC, LLC (NPI# 1902131162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902131162 |
| Entity Type | Organization |
| Organization Name | STONEBRIDGE SCC, LLC |
| Other Organization Name | STONEBRIDGE SN HEALTH CENTER |
| Practice Address |
11127 Circle Dr Austin TX 78736-7767 |
| Mailing Address |
600 N Pearl St Ste 1050 Dallas TX 75201-7495 |
| Practice Telephone | 5124433436 |
| Practice Fax Number | 5124454211 |
| Mailing Telephone | 2142527600 |
| Mailing Fax Number | 2142527704 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MR. MICHAEL BEAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2142527600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001017791 | 05 |
| Other Name | Type Code |
|---|---|
| Stonebridge SN Health Center | Doing Business As Name - Organization |
| Street Address |
11127 CIRCLE DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78736-7767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639117005 | Stonebridge Health Center, Inc | Skilled Nursing Facility | 11127 Circle Dr, Austin, TX 78736-7767 | 2006-06-04 |
| 1538704135 | Stratford Hospital District | Skilled Nursing Facility | 11127 Circle Dr, Austin, TX 78736-7767 | 2019-11-07 |
| 1194206227 | Michelle Mccarty | Occupational Therapy Assistant | 11127 Circle Dr, Austin, TX 78736-7767 | 2018-08-27 |
| 1447731583 | Michael James Drost | Physical Therapy Assistant | 11127 Circle Dr, Austin, TX 78736-7767 | 2018-08-27 |
| 1619458916 | Melissa Ann Saffron | Occupational Therapist | 11127 Circle Dr, Austin, TX 78736-7767 | 2018-08-24 |
| 1932680436 | Steven Lee Lambert | Physical Therapist | 11127 Circle Dr, Austin, TX 78736-7767 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902273725 | Legacy Oaks Al, LLC | Assisted Living Facility | 7501 W. Highway 290, Austin, TX 78736 | 2015-08-27 |
| 1033504980 | Sw Austin Assisted Living, LLC | Assisted Living Facility | 7501 West Highway 290, Austin, TX 78736 | 2015-03-30 |
| 1184016032 | Icb Enterprises Corporation | In Home Supportive Care | 11183 Circle Dr, Suite C, Austin, TX 78736 | 2015-03-02 |
| 1548695034 | Choice Homecare of Nacogdoches LLC | Home Health | 11183 Circle Dr Ste C, Austin, TX 78736 | 2013-09-04 |
| 1407192008 | Sarah Deluca | Social Worker | 10200 Highway 290 W, Austin, TX 78736 | 2012-12-31 |
| 1508352188 | Kara Lucas Counseling Pllc | Counselor | 6626 Silvermine Dr Ste 600, Austin, TX 78736 | 2018-07-06 |
| 1104937028 | Douglas Stakes | Chiropractor | 4604 S. Lamar Blvd, E-101, Austin, TX 78736-1347 | 2006-08-31 |
| 1437325495 | Beth Faulkner Jewell | Counselor | 8311 Red Willow Dr, Austin, TX 78736-1721 | 2008-04-30 |
| 1932531092 | Maya Lujan | Psychologist | 7306 Scenic Brook Dr, Austin, TX 78736-1723 | 2013-07-31 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| Find all providers in zip 78736 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256285 | Center At Parmer, LLC | Skilled Nursing Facility | 13800 N Fm 620 Rd # Sb, Austin, TX 78717-1126 | 2019-07-16 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1912305277 | Riverside Scc LLC | Skilled Nursing Facility | 6801 E Riverside Dr, Austin, TX 78741-6633 | 2014-12-18 |
| 1568884773 | Legend Oaks - Austin, LLC | Skilled Nursing Facility | 11020 Dessau Rd, Austin, TX 78754-2053 | 2014-01-08 |
| 1366716516 | John A Luker Md Pa | Skilled Nursing Facility | 4029 S Capital of Texas Hwy Ste 115, Austin, TX 78704-7920 | 2012-03-06 |
| 1841567435 | Kaleb Healthcare Services,inc. | Skilled Nursing Facility | 12318 Thompkins Dr, Austin, TX 78753-7016 | 2011-11-26 |
| 1407157555 | Onion Creek Scc LLC | Skilled Nursing Facility | 1700 Onion Creek Pkwy, Austin, TX 78748-1948 | 2010-11-05 |
| 1477879401 | Phcc-brodie Ranch Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 2101 Frate Barker Road, Austin, TX 78748-3614 | 2010-04-15 |
| 1588894596 | Phcc-riverside Rehabilitation and Health Care Center, LLC | Skilled Nursing Facility | 6801 E. Riverside Dr., Austin, TX 78741-3051 | 2009-07-24 |
| 1053547463 | Mason Dessau Op LLC | Skilled Nursing Facility | 11020 Dessau Road, Austin, TX 78754-2053 | 2009-06-01 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.